Left breast workup views

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LMLO spot

Spot compression views of the left breast circumscribed mass further demonstrate a smooth margin with a hypodense halo. The appearance is favored to represent a benign lesion, usually a cyst or fibroadenoma.

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Breast ultrasound demonstrates a gently lobulated, hypoechoic mass in the left breast 10o'c 3cm FN, and a shadowing spiculated lesion in the right breast 10 o'c 7cm FN, which is taller than it is wide and disrupts tissue planes.

Case Discussion

There is an obvious, circumscribed mass in the left breast, which was proven to be a fibroadenoma on biopsy.

There is also a more subtle area of spiculation in the right breast which was shown to represent invasive ductal carcinoma.

This case highlights the importance of a structured search pattern and "satisfaction of search" approach, in order not to miss a more subtle but significant finding.